General Contact Form | The REACH Academy and Resource Center

General Contact Form

Use this form if you are not sure which REACH option fits your situation. A team member at The REACH Academy and Resource Center will review your message and route it to the right category or partner.

Good For

General questions about REACH
Not sure which form to choose
Website issues or corrections
Requests for a call-back

If You Need Immediate Help

REACH is not an emergency service.

Emergency: Call 911
Crisis Support: Call 988
Human Services Help: Call 211

Back to Contact Hub Referral Interest Form

Send Your Message

Share as much detail as you’re comfortable providing. We’ll respond as quickly as possible.

Name

First

Last

Phone

Optional, but helpful if we need to reach you quickly.

with? can Name

Preferred Contact Method

What can we help you with?

Your Message

Share any details you feel comfortable sharing. Please do not include Social Security numbers or medical record numbers.

How did you hear about REACH?

Important Safety Notice

I understand that REACH is not an emergency service. For immediate danger, I will call 911. For a mental health crisis, I will contact 988 or local crisis services.

Consent / Privacy

REACH will only use this information to respond to your message and connect you with appropriate partners or resources. We do not share your information for marketing purposes.

Privacy: Your message is used only for routing and follow-up. We do not sell or market your information.

What Happens Next

A REACH team member reviews your message.
We route it to the correct pathway, partner, or internal lead.
You receive a follow-up using your preferred contact method.

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